All states › Texas › Keller › Legend Oaks Healthcare and Rehabilitation - Fort Wellness
4240 Golden Triangle Boulevard Keller, TX 76244 · Tarrant County
All 3 nursing homes in Keller, TX (3 take Medicaid)
CMS certification number 676426 · See this home on Medicare Care Compare
Is Legend Oaks Healthcare and Rehabilitation - Fort Wellness a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Oaks Healthcare and Rehabilitation - Fort Wellness as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.29 hours per resident per day at Legend Oaks Healthcare and Rehabilitation - Fort Wellness, about the same as the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 13% below its all-week average. 70.3% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Legend Oaks Healthcare and Rehabilitation - Fort Wellness: Medicare and Medicaid
Legend Oaks Healthcare and Rehabilitation - Fort Wellness is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on March 5, 2026 and found 7 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 26 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 26 citations at Legend Oaks Healthcare and Rehabilitation - Fort Wellness across 12 inspection dates, 11 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 13, 2026 (complaint inspection). The most common areas cited were quality of life and care (10) and nutrition and dietary (4). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, June 13, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 30, 2026 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
June 23, 2026 · 1 citation · includes complaint inspection
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
June 13, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
KEnsure that residents are free from significant medication errors.
April 17, 2026 · 1 citation, includes actual harm · includes complaint inspection
HEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 26, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
March 5, 2026 · 7 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
September 11, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 26, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 19, 2024 · 3 citations
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
October 8, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 6, 2024 · 2 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
November 16, 2023 · 5 citations
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation - Fort Wellness
- Inspectors cited the home at the immediate-jeopardy level on June 13, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 26, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.3% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
6 penalties in the last three years, including $71,764 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 13, 2026 | Fine | $19,230 |
| Mar 5, 2026 | Fine | $11,798 |
| Mar 5, 2026 | Fine | $12,438 |
| Sep 11, 2025 | Fine | $10,361 |
| Feb 26, 2025 | Fine | $9,110 |
| Oct 8, 2024 | Fine | $8,827 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Legend Oaks Healthcare and Rehabilitation - Fort Wellness
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.2 mi
Texas Health Harris Methodist Hospital Alliance Fort WorthEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 6m for patients treated and sent home
- 2.4 mi
-
2.6 mi
Medical City Alliance Fort WorthEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 47m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Legend Oaks Healthcare and Rehabilitation - Fort Wellness › All nursing homes in Keller ›
Higher-rated nursing homes within 10 miles
- Discovery Village at Southlake · Southlake · 5 stars · 5.5 mi
- Heritage House at Keller Rehab & Nursing · Keller · 4 stars · 2.6 mi
- Keller Oaks Healthcare Center · Keller · 4 stars · 6.1 mi
- Avir at Richland Hills · Richland Hills · 4 stars · 9.2 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.